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experts say "the sad development is caused more by ignorance and carelessness on the part of victims than the harsh economic realities that currently confront the nation."

Whichever way put, the economic hardship is the root cause; most people are in tune with their body system and know when something is wrong. For someone who doesn't have hope of 2 simple square meal daily, how would such afford money for test, let alone medications and hospital bills?
“Concerns over rising incidents of silent killer diseases, sudden death - The Nation Newspaper
The Nation Newspaper Concerns over rising incidents of silent killer diseases, sudden death

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